FLORIDA SHORES OF EDGEWATER ALF
NPI 1346492121
Assisted Living Facility in Edgewater, FL

Active since October 11, 2008
1229 MANGO TREE DR, EDGEWATER, FL 32132(386) 428-5370(386) 428-5370 Get Directions Write a Review

NPPES record last updated: October 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Florida Shores Of Edgewater Alf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA SHORES OF EDGEWATER ALF (NPI 1346492121) is a healthcare organization registered as an assisted living facility in Edgewater, Florida and active in the NPI registry since October 2008. The organization lists Isabelo Nudalo, Owner / Administrator, as its authorized official.

NPPES Registry Identity

NPI1346492121
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFLORIDA SHORES ASSISTED LIVING FACILITY INC.
Location Address1229 MANGO TREE DREdgewater, FL 32132-2005
Mailing Address1229 Mango Tree DrEdgewater, FL 32132-2005 · (386) 428-5370 · Fax (386) 428-5370
Fax(386) 428-5370
Organization SubpartNo
Authorized OfficialIsabelo NudaloOwner / Administrator · (386) 428-5370
Enumeration DateOctober 11, 2008
NPI 1346492121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · AL8229
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1229 MANGO TREE DR, Edgewater, FL 32132

Other Names 1

Doing Business AsFlorida Shores Of Edgewater Alf

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Shores Assisted Living Facility Inc.'s NPI number?

The NPI number for Florida Shores Assisted Living Facility Inc. is 1346492121. It was assigned to this organization in the NPPES registry on October 11, 2008. The provider is doing business as Florida Shores Of Edgewater Alf.

Where is Florida Shores Assisted Living Facility Inc. located?

Florida Shores Assisted Living Facility Inc. is located at 1229 Mango Tree Dr, Edgewater, FL 32132. The listed phone number is (386) 428-5370.

What is Florida Shores Assisted Living Facility Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Florida Shores Assisted Living Facility Inc. was last updated on October 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.